Angie Dawn Brasher, SLP
Individual provider Active NPI Speech-Language Pathologist · Lexington, TN
NPI 1356579320 · NPPES record last updated Jun 29, 2009
Key facts
- NPI
- 1356579320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1915 (TN)
- Practice address
- 727 E Church St
Lexington, TN 38351-1924 - Phone
- (731) 968-2004
- NPI assigned
- Jun 29, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1915 | TN | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1915 | TN | Yes |
Addresses
Primary practice location
727 E Church St
Lexington, TN 38351-1924
Mailing address
106 Mallard PT
Jackson, TN 38305-7541
Phone (731) 512-0246
Other providers in Lexington, TN
- Benwood Inpatient Services, PLLC
- Casey Beecham Blair
- Nancy Carol Blair
- Hillary Blankenship
- Botanical Emergency Physicians, LLC
- Holli D Brasher
- Christopher Hall Bratton
- Sarah Elizabeth Bridges
- Reign Wilson Britton
- Hunter Brown
All providers in Lexington, TN · Speech-Language Pathologist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.